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Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction

Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can...

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Autores principales: Noguchi, Takaaki, Hirao, Makoto, Tsuji, Shigeyoshi, Ebina, Kosuke, Tsuboi, Hideki, Etani, Yuki, Akita, Shosuke, Hashimoto, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508320/
https://www.ncbi.nlm.nih.gov/pubmed/34639346
http://dx.doi.org/10.3390/ijerph181910037
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author Noguchi, Takaaki
Hirao, Makoto
Tsuji, Shigeyoshi
Ebina, Kosuke
Tsuboi, Hideki
Etani, Yuki
Akita, Shosuke
Hashimoto, Jun
author_facet Noguchi, Takaaki
Hirao, Makoto
Tsuji, Shigeyoshi
Ebina, Kosuke
Tsuboi, Hideki
Etani, Yuki
Akita, Shosuke
Hashimoto, Jun
author_sort Noguchi, Takaaki
collection PubMed
description Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA.
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spelling pubmed-85083202021-10-13 Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction Noguchi, Takaaki Hirao, Makoto Tsuji, Shigeyoshi Ebina, Kosuke Tsuboi, Hideki Etani, Yuki Akita, Shosuke Hashimoto, Jun Int J Environ Res Public Health Article Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA. MDPI 2021-09-24 /pmc/articles/PMC8508320/ /pubmed/34639346 http://dx.doi.org/10.3390/ijerph181910037 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Noguchi, Takaaki
Hirao, Makoto
Tsuji, Shigeyoshi
Ebina, Kosuke
Tsuboi, Hideki
Etani, Yuki
Akita, Shosuke
Hashimoto, Jun
Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title_full Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title_fullStr Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title_full_unstemmed Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title_short Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction
title_sort association of decreased physical activity with rheumatoid mid-hindfoot deformity/destruction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508320/
https://www.ncbi.nlm.nih.gov/pubmed/34639346
http://dx.doi.org/10.3390/ijerph181910037
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